TIGRAN OVSEPYAN DDS INC.
NPI: 1205359718
· EL MONTE, CA 91733
· General Practice Dentistry
· NPI assigned 07/18/2017
$354K
Total Medicaid Paid
Provider Details
| Authorized Official | OVSEPYAN, TIGRAN (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 07/18/2017 |
Related Entities
Other providers sharing the same authorized official: OVSEPYAN, TIGRAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,944 |
$112K |
| 2019 |
3,187 |
$58K |
| 2020 |
1,893 |
$31K |
| 2021 |
2,426 |
$32K |
| 2022 |
2,664 |
$54K |
| 2023 |
2,293 |
$44K |
| 2024 |
1,268 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,377 |
1,374 |
$81K |
| D1120 |
Prophylaxis - child |
1,551 |
1,544 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
815 |
812 |
$45K |
| D0230 |
Intraoral - periapical each additional radiographic image |
8,839 |
1,738 |
$39K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
725 |
207 |
$38K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
478 |
191 |
$30K |
| D0274 |
Bitewings - four radiographic images |
1,355 |
1,351 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,120 |
2,113 |
$22K |
| D0210 |
Intraoral - complete series of radiographic images |
263 |
261 |
$12K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$3K |
| D1351 |
Sealant - per tooth |
74 |
23 |
$1K |
| D9430 |
|
39 |
39 |
$1K |